Provider Demographics
NPI:1841337888
Name:NOVAS, DOHR & COLL OB GYN ASSOCIATES,S.C.
Entity type:Organization
Organization Name:NOVAS, DOHR & COLL OB GYN ASSOCIATES,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-304-0044
Mailing Address - Street 1:111 LIONS DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3182
Mailing Address - Country:US
Mailing Address - Phone:847-304-0044
Mailing Address - Fax:847-304-5885
Practice Address - Street 1:111 LIONS DR
Practice Address - Street 2:SUITE 210
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3182
Practice Address - Country:US
Practice Address - Phone:847-304-0044
Practice Address - Fax:847-304-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
386520Medicare PIN